GOVERNMENT OF RAJASTHAN STATE REPORT ON GUINEAWORM ERADICATION PROGRAMME FOR THE MihTASK FORCE MEETING STh&iOTh JANUARY, <992 ) AT NICD DELHI
Item
- Title
-
GOVERNMENT OF RAJASTHAN
STATE REPORT
ON
GUINEAWORM ERADICATION PROGRAMME
FOR
THE MihTASK FORCE MEETING
STh&iOTh JANUARY, <992
)
AT
NICD DELHI - extracted text
-
GOVERNMENT OF RAJASTHAN
STATE REPORT
ON
GUINEAWORM ERADICATION PROGRAMME
FOR
THE MihTASK FORCE MEETING
AT
NICD DELHI
STh&iOTh JANUARY, <992
DIRECTORATE OF MEDICAL,HEALTH & F.W. SERVICES
RAJASTHAN, JAIPUR-302005
)
V
■
.GUINEAWORM ERADICATION PROGRAMME
RAJASTHAN
The Guineaworm Eradication Programme
'V •sponsored
with
scheme
implemented
of
basis
sharing
endemic
guineaworm
six
by
50:50
National
is
centrally
a
is
being
under
the
and
States
of
technical
guidance
Diseases.
The programme functions under the overall charge
Institute
Communicable
of the Director/ Medical & Health Services who is assisted by
the Additional Director
(Rural
Programme Offier (GWEP).
A Guineaworm Cell is created at the
Health)
identified
as
State
State level and provided with a post of Technical Officer to
assist
the
Programme
Officer
in
co-ordinating,
planning,
implementing and monitoring of the programme activities.
The
Dy. CM&HO (Health) has been identified as District Programme
Officer who is assisted by one PMA/HE.
The Medical Officer
incharge PHC has overall responsibilities for implementation
of programme.
out
The entire programme
categories
various
by
of
activities
medical
and
are
carried
para
medical
functionaries viz. Block/Sector Supervisors and multi-purpose
workers.
is
Rajasthan
one
of
the
highly
guineaworm
endemic
State in the country which alone accounts more than $0% of GW
affected
villages
and
70%
cases.
In
spite
of
numerous
problems of varied and difficult terrain, deficient resources
and
infra-structure,
beginning,
the
State
higher
has
magnitude
also
of GW problem since
attained
a
progressive
remarkable decline of 78% in GW endemicity in consonence to
other States.
COMPARATIVE GW ENDEMICITY IN INDIA (1984-1990)
1984
1990
CASES
GW
AFFECTED VILLAGES
S.No. AFFECTED
STATES
STATES
%decline 1984 1990
%
decline
1.
Andhra
Pradesh
1160
88
93
4461
224
95
2.
Gujarat
444
15
97
626
22
96
3.
Karnataka
991
249
75
5239
634
88
4.
Madhya
Pradesh
3667
485
87
11341
333
97
5.
Maharashtra
1213
190
85
3115
209
93
6.
Rajasthan
6776
1565
77
15210 3376
78
TOTAL
12840
2592
80
39792 4798
88
year).
of
During
districts,
affected
the
year
1984
(Index
out
27
23 districts with 147 PHCs and 6776 villages were
and
15210
GW cases
were
recorded
but
there
is a
significant decline of 43.4% in number of affected districts.
56% in PHCs and 80.6% in villages.
of
88.7%
in gw cases at the end of
districts with 64 PHCs,
endemic.
There is a net reduction
1991.
Presently,
13
1310 villages are continuing to be
1712 GW cases were detected during the year 1991 as
detailed below :
■
No.of GW
affected
1984
Y
E
A
1986 1787
1985
R
1988
1989
....
Y
1990
1991
%
decline
Districts
23
21
19
17
17
16
15
13
43.48
PHCs
147
131
118
90
85
76
70
64
56.47
Villages
6776
3349
3276 2755
2254
2009
1561
1310
80.67
GW Cases
15210 11644 10500 7896
5619
4872
3376
1712
88.75
Similarly,
a
comparative
guineaworm
endemicity
in
various districts during 1984 and 1991 is shown below :
S.No. AFFECTED
DISTRICT
1984____ ________
Affected GW
Affected
villages cases villages
1991
dec
line
1.
Banswara
788
765
118
85.1
2.
Barmer
622
Bikaner
703
106
370
2924
56
6
2
275
91.2
3.
4.
42
11
2
2
5.
6.
7.
8.
9.
38
Chittorgarh2 0 7
Dungarpur 738
Jaisalmer
83
Jalore
169
98.82
86.9
97.7
63.7
479
63
88.1
294
38.7
74
6152
1
455
98.5
64.3
0
489
100
92.06
the
above
table
that
Udaipur,
395
352
11.
Nagaur
529
12.
13.
Tonk
Udaipur
66
1271
Dungarpur,
95.6
83.1
100
12
10.
Jhalawar t
31
84.3
18
99.034
0
62.8 385
97.60
1
77.2
94.04
288
30
from
88.4
93.51 153
96.97 21
2084
670
evident
89
89.2
848
462
is
%
dec
line
4
66.04 227
Jhalawar
Jodhpur
Kota
It
GW
cases
%
Banswara,
Nagaur,
Barmer
and
Jodhpur
still account maximum affected villages and cases in spite of
“1
the fact that a progressive decline in endemicity is going
on.
Chittorgarh,
districts
have
Tonk,
Jaisalmer,
achieved
a
significant
stepping towards eradication.
villages
(455)
GW
and
Jalore,
Barmer,
Kota
declinement
and
The maximum number of affected
cases
(489)
are
still
in
Udaipur
whereas Tonk has only one affected village without a single
case.
districts,
Two
viz.
Bundi
and
Sawai
Madhopur
are
declared free of disease.
As
per
strategy
formulated
following
the
activities
have been carried out during the year 1991.
1.
GW case detection; Sitnation
All
three
active
and Surveillance
case
searches
of
April,
June and December, 1991 were planned and organised in
all
rural
and
urban
areas
of
non-endemic districts of the State.
all
endemic
and
In this connection
detailed guidelines were issued to all concerned well
in advance.
the State
Level Pre-Search meetings were
followed
District
and
by
PHC
Level
meetings.
The
objective of these meetings was to review the findings
and lacunas observed during previous search and to sort
out possible corrective measures.
Teams
have
also
shared
their
The Epidemiological
experiences
and
observations.
The main emphasis was given on effective and
supportive
supervision
at
each
level
to
yield
1
qualitative results. The target for various categories
of
supervisors
were
to
fixed
ensure
their
active
involvement.
During April,
villages
were
cross
1991 active case search 3901
checked
whereas
4531
4103
and
villages were cross checked during June and December,
1991
search
respectively.
headquarter
The
officer's
from
State
visited some selected highly endemic areas
to ensure proper implementation of search activities.
2.
GW Situation as on 1.1.1992
On 1.1.1991
15 districts,
were affected.
70 PHCs and 1561 Villages
12,27,966 population was
3,376 Guineaworm cases
at risk
and
were detected during the year
1990 whereas PHCs viz. Balesar (Jodhpur) Rajsamand and
Amet
(Udaipur)
Kalana
(Kota)
re-infected.
Sanchor
have
(Jalore)
been
Similarly,
Jaipla
reported
151
and
to
be
villages
Bambora
newly
have
or
been
reported to be newly or re-infected wherein 368 cases
are
detected.
The
maximum
of
number
newly
or
districts
of
Dungarpur, Banswara, Jhalawar, Udaipur and Nagaur.
The
reasons
in
reinfected
villages
are
Surveillance
are
obviously
System
scheme since 1990.
and
from
due
the
to
improvement
introduction
of
incentive
During the year,1991 two districts viz. Bundi and Sawai
Madhopur
been
have
district
In
deleted.
Bundi
a
municipal town - LAKHERI was affected with two imported
case
and
thereafter
no
case
subsequent
hence it has been deleted.
could
occur
In district Sawai Madhopur,
no case could occur during last three years, therefore,
it has been deleted.
Bhinmal
(Jalore),
Similarly 12 PHCs viz. Ahore and
Kaithoon
(Kota),
Kapren
(Bundi),
(Sawai
and
Chohtan
(Barmer),
Bhagwatgarh
Madhopur),
Somesar
(Jodhpur),
Kanore
Kunkunwali
and
Baytu
Maulasar
(Nagaur)
(Udaipur),
and
Barawarda
(Chittorgarh) have been deleted.
402 Villages having a population of 4,24,705 have been
deleted
for
nor
years.
At
present.
affected with
risk.
reporting
1712
any
64
PHCs
cases
and
in
case
with
1310 villages are
9,90,548
population
The maximum number of affected villages
and cases (489) are in Udaipur whereas.
and
consecutive
Chittorgarh
did
not
report
any
at
(455)
district Tonk
case.
The main
problem remains in the districts of Udaipur, Dungarpur,
Jhalawar,
Jodhpur and Nagaur are contributing 90% of
the total cases.
3.
Distribution of affected villages
Out of 1310 affected villages at present.
333 are old
affected villages where cases occurred during 1991.
are
newly affected and 97
re-infected villages.
villages are under I year of Surveillance,
54
401
425 are in
Surveillance where 402 villages which were
II year
been deleted
on
III
year of
Surveillance have
1.1.1992.
205 old.
45 new and 42 re-infected villages
under
have been investigated.
The factors responsible for continuing transmission in
areas
endemic
due
are
mobility
frequent
to
of
population from active village to non-affected villages
where
Vector
measures
control
are
Sometimes,
unsafe
water
sources
agriculture
field
play
an
not
undertaken.
located
imporltant
in
the
role
in
transmission of disease which is known after occurrence
of
cases.
Secondly,
during
course
of
famine relief
works the floating labour population consume drinking
water from the nearest place, which either contaminates
the water source or get infected after consumption of
contaminated water.
Therefore,
instructions
have
been
issued
to
apply
temephos in such unsafe water sources which are located
around affected village including agriculture Wells.
4.
Guineawsorm case detection in different active case
searching
580 cases were detected during April/
1991 search with
higher incidence in Banswara,
Jhalawar.
search
Dungarpur,
Udaipur
458 cases were recorded during June,
with
higher
number
of
cases
in
In
December,
Dungarpur,
Jhalawar
search
674
cases
cases
(237)
were recorded in Nagaur (149)
and
were
Nagaur.
and
1991
Udaipur,
1991
recorded out of which maximum
in Jodhpur
and (99) in Dungarpur.
5.
Monthly Surveillance and reporting of GW cases
The
monthly
reporting
system
of
Guineaworm
cases
through routine visits of the staff was introduced in
1990 which has helped in detection of cases at earlier
stage for initiating corrective measures in time.
The monthly reports are regularly received from endemic
and
rep
non-endemic
districts
even
if
there
is
a
nil
The maximum cases are reported in April, June
and thereafter in
every
month
which
shows
that
the
reporting system has improved to some extent.
6.
Age and Sex distribution
Out of 1712 Guineaworm cases 965 (56.3%) are made and
747
(43.7%)
are
children and 1186
female.
(69.3%)
Similarly,
are adults.
526
(30.7%)
are
It shows
th
males
victims
more
are
than
female
it
may
be
on
account of higher mobility as compared to females.
7.
Drinking Water Supply position
There are 6614 hand pumps,
water
supplies
in 1310
6671 draw wells,
Guineaworm affected villages.
3,668 step wells,
Similarly,
277 pipe
395 ponds.
74
tanks
are
39 affected villages
located in the affected villages.
have been identified where there is not a single safe
water drinking source in the districts of Jhalawar and
Udaipur.
609 villages require additional water sources. list of
which is being communicated to the PHED for provision
of safe water supply on priority basis.
8.
Conversion of unsafe Water Sources
Only 10 districts were identified where the target of
2569 unsafe sources fixed including three districts of
SWACH Project area 1651 step wells have been converted
so
far
and
conversion
23
of
step
wells
are
under
progress.
No feed-back is received from PHED
so far
about
engineering
taken
on
measures
conversion/protection of 382 unsafe sources identified
in
December
1990
search and
also
identified without single source.
about
246 villages
9.
Vector Control measures
To
this
s t reamli ne
activity
to
t ime
t ime
instructions were issued r o the district and PHC
for regular
Incharges
on
sources
of
fixed
affected
CMGHO
in
the
whereas
look
having
Medical
Off i cer
will
also
to
the
the
Dy.
activity
cases
ten
PHC
will
exclusively.
The
Team
a nd
villages
this
than
more
of
rest
Ep i demi o1i g i s t
inc i dence.
apply and monitor
villages
after
looking
done
Gu ineaworm
will
(H)
was
stratification
A
dates/days.
vi11 ages
of
i n t ens i ty
o f unsafe water
t reatment
ensure
in
the
proper
execution of these instructions.
5160 unsafe water s ources were identified where
in 273 s ources were never treated because of n o
wa ter collect ion.
t imes,
1178 in 3-4
remaining
activity
lit.
565
1504
was
wa ter
ballance
and
t imes,
were
1640 in 5-6
t rea t ed
This
v i11 ages .
4313
in
consumed,
436
lit.
lit.
will
be
5270
This year
of supply from NICO.
7 70
times and
t imes.
7-8
monj tored
the year 1992.
remained
in
required during
there was a
short age
However SWACH has supplied
approximately 3000 Lit.
and 1991.
sources were t rea t ed 1-2
t o the State during 1990
10.
Distributi o n_o£_S_t r a i_rie r
from NICD during
84, 400 Strainers were received
of
villages
611
St rainers.
12110
of
a previous balance
t here was
and
the year 1991
PHC s
58
94092 Strainers were distributed
were covered.
after demonstration of using
t o the House holds
2418 Strainers in
Now there is a balance of
i t.
The average
the pipe line.
life of Strainers i s
a bou t
a y ear,
if used daily.
been
proved
very
f or
effect ive
a nd
useful
device have
This
where
Sieving water particularly in desert areas
people use pond (Nari) water.
11.
Hea 1 th Education Ac _t.ivi._t i^es
In
abou t
in
programme
supported
project
part i cipa t ion
UNICEF
Guineaworm
In t egrated
imp 1 emen t ed
in
Medical Deptt.
the
imp 1 ementa t ion,
by
e
being
also
is
PHED/SWACH
and
The village contact Drives were
Jodhpur,
organised in the districts of Jhalawar,
Ba rmer,
Ja i saimer,
a
Rajasthan
viz.
Project
State
act ive
their
seek
to
and
disease
the
communi ty
the
in
awareness
crea t e
to
order
B i kaner
districts
members
of
village
during
Nagaur
and
1991.
The
(VCT’s)
were
Kota,
Ja1 ore,
the
contact
year
Teams
comprising
selected
f rom
the
commun i ty
itself
t wo males
and
t wo
f ema 1es.
They were
impart ed
four days
with
job
Health
sufficient
on
they were put
training before
educa t i on
the
material
and A.V. Aids.
Following activities were undertaken
Mass meeting
1252
Group meetings
11818
Posters display
2 6261
Hand bills distribution
31150
Folders distribution
6 950
Vedeo Film Shows
49
Tin plate display
2314
Wall slogas
60864
Exhibi t ions
7
Cultural Programmes
Puppet Shows
5
Health talks
2492
During
the
course of Act ive
mass meetings,
69825
345
192
posters
folders
slogans
were
s earches
Group meetings
20048
85696
displayed,
were
case
were held.
hand
3112
and
and
bills
47492
wall
schools
were
distribut ed.
written
1662
visited for health talks.
12.
Guineaworm Education Day
GW education day was celebrated i n 15 districts,
270
sub-c ent res
25.4.91.
This
day was
o pera t i on
of
70
PHC’s,
organisa t ions
to
and
vi11 ages
celebra ted with
a nd
draw
attention
the
on
the co-
non-vo1un t ary
voluntary
about the Guineaworm problem.
<
765
of
masses
is
gaining
Na t iona1
Health
Days
problem
of
Day
This
the
f ecus
to
d i s semi na t e
the disease upto
the r emo test
a nd
Guineaworm
information about
to
Ce lebration
o ther
like
impo rtance
area.
13.
Trained Manpower
In
impart
to
order
adequate
and
information
to
activities
develop skills to implement programme
in
crash teaching programmes have been organised
d i s t ri c t/PHC ’ s
highly
endemi c
module.
11
is
a
carried
ou t
for
various
NICD
activity
being
category
114 Medical
1991,
year
the
Du ri ng
cont inuous
per
as
of
staff.
Officers,
10
199 Health Assistants and 1212
Health Educators,
MPW's were t rained.
14.
AC11 on__t aken_on the rec ommenda^ i_on s_o£_X_I J
——
Force Meeting :
Act ion
each
on
recommendat ion
is
men t ioned
in
the annexure.
Supervision_by_State_Pro2ramme_gfficer
15.
The
State
District
Programme
Jodhpur,
Officer
Ba rmer,
(GWEP)
visited
Ja lore and have cross
19 villages of
the search activities in
ry instructions have
f rom endemi c PHC s.
checked
and
1NFOFMation
C1NTF4
-
^^£4 N G A'
11221
been
i ssued
to
all
concerned
measures with proper
foilow-u p.
0 f f i cer
were
(GW)
also
f or
remedial
The Technical
and o ther off i cers o f Di rec tora t e
visited
the
affected Di stricts/PHC’s
and villages.
16.
Plan of Action f or___the_year 199 2
Details given in the annexure.
17.
1 i ca t i ons
The Central allocation f or the year 1991-92 has
yet
no t
received,
Central
allocation
however
in
Rs.1.62
i ncurred till September,
anticipation
1 akhs
1991.
have
of
been
The expenditure
statement upto second quarter ending has already
been
furnished
imbursement .
to
Gov t.
of
India
f or
re
7.
ACTION TAKEN ON RECOMMENDATIONS
OF 13TH TASK FORCE MEETING ON GWEP
(I)
Improved infra-structure for GWEP
During the course of State Level meeting
of Medical
Department and PHED at Jaipur on 18.3.1991, both the
have
organisations
instructions
issued
to
their
district Unit Officers for holding a regular monthly
meeting
interact
to
provision of
and
review
the
progress
in
Safe Water Supply on priority basis in
guineaworm
affected
requested
to
ensure
villages.
They
inter-sectoral
have
also
been
co-ordination
implementation of GWEP and to give full
priority
in
to
the programme.
The State GWEP Officer is giving more time in planning
and
monitoring
of
the
programme
activities.
Similarly, the Technical Officer has also been working
exclusively for Guineaworm Eradication programme.
(ID
Guineaworm case finding and surveillance
Three Active Case Search Operations are being carried
out in April, June and December in all rural and urban
areas of both endemic and non-endemic districts.
The
presearch meetings are held at State, district and PHC
level to review the progress and to plan for the next
searches.
The intersearch activities are also monitored through
a monthly reporting system right from peripheral
State
Even
Level.
report
the
if
is
nil,
gw
cases
it
to
is
communicated in prescribed format.
reporting
villages
The
active
investigated on a specified proforma,
are
indicating the
factors responsible for disease transmission and the
corrective measures undertaken.
In
order
scheme
to
was
detect
each
introduced
in
foci,
hidden
1990
to
an incentive
award
the
first
informer of an Active gw case with Rs.25.00, which was
enhanced to Rs.50/- from Jan.1991 onwards.
The Govt.
is contemplating to increase this incentive from 50 to
100 per case during this year.
1990 search,
the stratification
of GW affected villages was done.
Instructions were
On the basis of Dec.
issued to monitor the activity of Temephos application
and validation of data by Dy.CM&HO (H) and his team in
the villages, reporting ten and above cases.
I/c
and
Team would monitor the villages,
The M.O.
reporting
below ten cases.
(Ill) Early case management
Instructions have been issued for early detection of
cases
at
preferably
stage
blister
and
for
regular
transmission.
baundaging to prevent disease
(IV)
Guineaworm Health Education
health education
Emphasis has been given to intensify
by
etc.
haats
weekly
school,
community,
the
in
distribution of
displaying posters, tin plates and
hand
bills
in
organised
Jhalawar,
etc.
four
Barmer,
contact teams,
Village
contact
Drives
endemic
highly
been
have
districts
of
Jodhpur and Nagaur through village
selected from community itself.
It has
in creating awareness about the
given a unique impact
transmission and prevention of disease.
(V)
Guineaworm Vpcter Control
The main emphasis has been
given for regular treatment
as per stratification of
of identified unsafe sources
have been fixed for
gw endemicity and responsibilities
for temephos application on
district and PHC level
fixed dates/days.
The strainers/double cloth
from
NICD/SWACH/State
households
filter/Funnel nets received
have
been
in affected villages
drinking water.
distributed
to
the
for filtering unsafe
(VI)
Provision & Maintenance of Safe drinking water
The list of affected villages without a Single Safe
Source and villages requiring additional sources (one
source for 150 pop) have already been communicated to
the
PHED.
Similarly,
the
list
of
villages
having
unsafe sources and requiring conversion has also been
sent to PHED for corrective measures.
have
been
issued
to
all
CM&HOs
and
Instructions
Dy.
CM&HOs
to
reconcile the information in the monthly meetings with
PHED and to intimate decisions taken and deliberations
held in the meeting.
(VII) Information System
The formats as appended in the operational manual have
been
printed
at
the
State/district
and
are
made
available to the PHCs well in time.
(VIII)Supervision & Monitoring of GWEP
Targets have been fixed for State/Distt/PHC and Sector
Level Supervisors for on the spot supervision to yield
better qualitative results.
(IX)
Trained manpower development
As per NICD modules,
the crashs teaching programme of
EPOs,
MO I/c PHCs
and other paramedical
orlganised in the year 1989.
staff were
This year also, similar
crash teaching programmes have been organised in ten
highly
endemic
PHCs
of
Barmer and Nagaur in 1991.
Jhalawar,
Nagaur,
Jodhpur,
II III
RAJASTHAN
GUINEAWORM ENDEMICITY
AS ON I- I- 92
ganganagar
£
\
CHURU
JHUNJHUNyJ
SIKAR
HARATPUR "
63
2941
777/
NAGAUR
2.
Tsskl^
jaisalmer
cholpOp
JAIPUR
JODHPUR
1
O
) AJMER
SAWAI MADHOPUR
TONK
> 21 ^ASb X
^ZTTr/hr//
BARMERf
>
PALI
bhilwara
BUND 1^
2J
KOTA
/ JALORE
a
ft
IZ
z</
<3
;2i7 >88
o y/\
^chittorgarh|
•<
JHALAWAR
q.
?*
dungarpur
8ANSWARA
!?>
GUINEAWORM AFFECTED DISTRICTS
NO. OF GUINEAWORM VILLAGES/HAMLETS
17l£
NO- OF GUINEAWORM CASES
“9
- 0~
U
Fo
z:
J
<0
I
h
J
rA-
5
UJ
LU
LL
o LLa
LL
>
o
a
<
-j
I
U
<4
H
n
d
O
LL
H
i 3
cr
Q
9
5 -5
>
o
t-
r
<
<
QJ
ja
(y
I
-j
S s1
u
UJ
>
k
4J <5_
<D
K)
X
LL1
I1
I
1 y -R
i
? J
O
-J
£
O
a.
C/1
1
®
LLl
m
(J)
Q
z
2
LL
>
cD
Q
LLl
r
<
u
O
CD
O
LU
Q
-J
H
e>
m
-
Ij
H
=2
3
2
1
f
Q)
Q)
<J
&
*
£• 2 I
d
t)
Q
5
£
A-
tf
6 dl -T
G.W. CASES
DETECT Io N, E ITLIATION & SURVEILLANCE
DURING
COVERAGE
TaTAU IN
DISTRICT
I
nJ
districts
I.
I
I
U
ZT
1
BDHSWARA
8
2
BARMER
&
3
BIKRHER
L!
IM APRIL 1331
IN JUNE 1991
UJ
UJ
C
ex
u
.J
X
£»•
a.
SEARCHED
.JiJI
o.
>
&
I4C3.
g^x
- - —..
S-'io xV9'"1
ll
5. CHITTORGARII
13=
2JX3>
13,
.1^
DUNGARPUR
S"
<32?
S'
g^S"
7 JAISALMER
s
4 22-
8
7
612.
JALORE
9 JIIALAWAR
7
X'
4/
&
17
10 JODHPUR
9
II. KOTA
IX
702.
J___
19^
12
13
NAGAUR
.MADHOPUR
II
17-4)
II
ISJl
14 TONK
Q
|c4i
15
18 3)14
UDAIPUR
total
1^’’
■3
o
362
‘
/oO
Q
9
7©1
4
18
|2
) 2-41
I I
-J
J
io
a.0)
o
a.
>
&°8
I3>
IM 4)
Ifles<l^'
1241 - •\ 77
iHl
r2-'\'^
11
|e>4) jli"*
6
- '<
3116
18 _x___ p<_____
in I
_ CLO'
.3v3'
T) j''’1’ 1
(J) ^prr-* <• L-^5 i-tetve ____
nt f
. „
‘ ” ’ -------------* ’
fso
to
tkxx{
ZV’\
'7 “■
2.0c,
w
?>s'7
^IS"
6°
74
74
1'2-7
16°
l*.S
2C4
37 c
448
3.S7
Mis
362
I2S
2I<S
IIS'"
7
612-
30°
136
169
6
I4DI 9'
_ 464
_____ 372
2-4S"
9
7oT-
I1573
76
21s
|2
flor
M4o I07B
D&7
ll
|X4)
IS
S4
I)
IS"^
Io
-----I
98
3^7 i
|Go
G
|o41
Lift
88 I
16°
3±'&
JI 'ZAI^,
34S7 64S
\J |\VV
l\A . D’.fOl
c*MAy
z a>
3
^o’l -
IS31
I
al-
Dl)o
SMo
2.&2 X1^60
I 44)
e
□
a.
7>
_5JL
3
CHECKED FOR SEARCH DUALITY ’
a
'X^
B2S
6
II
v
fit' L iv'C
Op'
h‘ ' cttXA
I
o
CT
UJ
'47
Ct
a.
>
S’
7
NO. OF VILLAGES CROSS
1991
DEC
u
2\2-3>
6/2.
II
<x
zj z
□ o
s
,.61
.
in
X
Q_
'1
|i.
I
CX
u
z
M
So'S
1
&
XJ
SM o
2° 8
BUNDI
-J Z
£2
<£»—. ®
7>
L)
4
•01
SEARCHES
CASE
searched
SEARCHED
ex
<X
GUINEA WORM
ACTIVE
U‘7
-^.*4
cj f t 7
’YVVA
61AA
f.
rlfet-n cH
I,___
94S
4|o 3
VX VAX — 4
GUINEAWORM
s
N.
ON
AS
AFFECTED
DISTRICTS
PHC
SITUATION ASON 1-1-92
NEWLY EFFECTED in 1991
1- P 91
VILLAGE POPULATION cases
PHC
1
BANSWARA
7
ISI
7ij9SS
28
0
2
BARMER
8
9 )
I6SXB2
20 2-
o
3
BIKANER
4
BUNDI
5
CHITTORGARH
8.
6
DUNGARPUR
7
JAISALMER
S
2
a
jalore
S
9
JHALAWAR
S'
io
JODHPUR
7
II
KO7A
7
12
NAGAUR
7
IHMS8
V/LLAGES POPULATION CASES
PHC.
305-00
o
3,0172-
2
28
172-3
)
333 2.
1
o
27og|
2
©
o
o
G
2.7£
98 S 7
9
e>
o
o
kit.
e
Ms
19837
7313
27
M
o
1
3197 I
336
I
2
S6 2B
o
2)
o
I
7
1° 9° /
3) 872-
S3
|e>67is-
773
277
SI
Bs-69
_jL
ST
29o
18
|01
2
3C9
o
16
33S‘H£
&
o
o
o
16
o
o
o
~ 2 i~7
I
14
TONK
I
IS
UDAIPUR
12
Q2-7
116 7
2
21
TOTAL
70
1561
2376
6
IS)
I
PjlSl
c3Sa8y»u*x
Awet CWc*a-‘V,u''^
-
Q-yai^ye.)
CKrf^
VILLAGES
7
118
89
72-qi?
s-^
SI
I
2S6
6
)
27o8)
SIS'9
M
log
o
2±3 e>2
b!
s
^s'
11399
o
o
2
2.
s
27S-
2.
■x
POPULATION CASES
I7SS7
o
18
o
o
)7oS
137803 38s3824
J
1
23
23
C7IS7
7
S6 2g
M
288 I o I
227
'7)63^ IS3
b
1
II
7^32-
&
12-
11jm
2)
S7
2
9
£3
100141.
2<19
I
1
2.8°|q7
235
o
o
o
o
o
c>
0
\
o
)93
187 2.2-87
AS ON 1-1-92
PHO
VILLAGES POPULATION
o
/
S.MADHOPUR
- ' .
i’
6
13
Newl^
-------ES<xlesa
DELETED IN >991
12-
tioi
s
0
Mss S66777
|O/
67
)8lo
AhQ^., fekvvvwal
g>ayawa^JA <cUttav2
OjCtvy, (2s . fYiauAN*
w
<^05-78 17)2
flNN€XVR€ * f
DISTRIBUTION OF AFFECTED VILLAGES AS ON 1-1-92
ACCORDING
NAME OF
TO
G.W. ENDEMICIfl-y
ACTIVE CZiSE
THE
VILLAGES
NUMBER OF ACTIVE CASE
UNDER
VILLAGES INVESTIGATED
SURVEILLANCE
VILLAGES
affected
districts
OLD
NEW
2 banswara
2^
5
2
BARMER
13
5
BIKANER
4-
BUNDI_______
5
CHITTORGARH
6
DUNGARPUR
7
JAISALMER
8
jalore
9
JHALAWAR
10
JODHPUR
II
KOTA
12
NAGAUR
13
S.MADHOPUR
14
TONK
I
15
UDAIPUR
(Ms
I
TOTAL
STATUS
RE-INF ISE YEAR
2HDYEAR 3RD YEAR
O LD
2 I
13
3T ■
A
RE-INF.
£
Si
1
NEW.
\3
\
S’
1
i
I
1
Mg
s
s
I
<3^
2-9
\s-
4
Q
M
r
S~
S’
I3
4 e>
I
80
Ml
lo
■R
T
I
1
S’
G
3
3
ll
IO
if
s
s
I
331
^7
I (o I
IMS'
SC
z
M2_s
O Gi
LL CO
&
r
I
i
•ttfltE JI
GUINEAWORM CASES
•s
DETECTED IN DIFFERENT SEARCHES
‘k
S
N.
AFFECTED
gdineaworm
DURING
DISTRICTS
CASES
SEARCH
DETECTED
I N
TOTAL
APRIL
JUNE
DECEMBER
i.
BAN SWA R A
53
16
2.e
2
BARMER
3
27
3
BIKANER
1
o
17
1
4
BUNDI
6
o
O
31
18
o
5
chittorgarh
o
o
dungarpur
o
/oo
e
6
7
jaisalmer
O
8.
9
JALORP
1
o
3.
jhalawar
lol
io
76
JODHPUR
ss~
o
H
KOTA
im
12
NAGAUR
13
s. madhopur
14
TONK
IS
UDAIPUR
total
89
Ho
FR££
I
/S3
ai
-Ji
TJ
O
SC
o
237
o
o
_ A.
o
o
i?7
o
226
io6
5 8°
4S8
£7^
"
87
I 7 12.
FR££
ANNEXURE -7
MONTHLY SURVEILLANCE & REPORTING
NO.
s. effected
No
districts
JAN.
1
BANSWARA
o
2
3
4
5
7
_
BARMER
BIKANER
¥
FEB.
APRIL
3
o
2
o
J
0
CASES
G UINEAWORM
DETECTED
OCT.
MAY
JUNE
JULY
AUG.
SEPT.
G
Io
s
o
3
S
I
B
a
e>
o
o
o
i
31
o
e>
o
o
o
I
18
o
a
o
o
o
e>
17
NOV.
DEC
Total.
o
G
O
O
C>
o
d>
o
o
chittorgrrh
o
o
o
e
o
o
O
o
Q
o
o
DUNGARPUR
o
O
186
G
| GO
22
17
2.0
D
G
3o
JAISALMER
o
o
6
o
o
T~
o
o
o
O
o
38 S
I
JALORE
O
O
O
J
G
G
o
o
2
17
I
12
o
Q
4
|O
3
22 7
SS'
9
^9
o
o
IS3
BUNDI
i
~G9
e>
4
o
o
6
I
3>
o
14
I
I
o
c>
o
I
2|
o
o
I
S2
3°
21
294
0
o
o
G
o
Go
o
76
o
44
o
4
o
o
o
o
d
o
a
o
©
o
a
<9
o
I
22 R
138
11
2-M
M7
2.
6
/S’
7
57°
19
3o
^26
119
197
139
ss
S3
&O
^85
1712.
o
e>
o
o
11
KOTA
C>
12 NAGAUR
O
S.MADHOPUR*
14 TONK
p
IS UDAIPUR
2
TOTAL
o
o
lol
9 JHALAWAR
io JODHPUR
13
MARCH
OF
OF GUINEAWORM CASES BY DISTRICTS
0
I
6
o
® free.
I
ANNEXURE - 8
AGE & SEX DI ST R1 BUT I ON OF GUINEAWORM CASES DE1ECTED DURlNGjj9j
AGE /
SEX
MALE
female
ro F/AL
2.G5
S-26
l|73
II
CHILDREN
ADULTS
TOTAL
7^8
747
1712-
ANNEXURE -9
._DRINKING WATER SUPPLY POSITION IN G.W. AFFECTED VILLAGES
—------------------AFFE CTED
N.
DISTRICTS
j
BANSWARA
2.
BARMER
3
BIKANER
4 BUNDI
5 chittorgarh
6 DUNGARPUR
7 JAISALMER
8 JALORE
9 J H ALA WAR
10 JODHPUR
ii
12
SAFE DRINKING
WATER
HAND
DRAW
PIPED
PUMPS
WELLS
WATER
12
^7
8 So
3o8
3___
2268
I___
1
863
23___
KOTA
32
NAGAUR
lol
14
TONK
UDAIPUR
TOIAL
TOTAL
wEHs
|o
13
qo72
5
13
I73S
lol
3
I 66
22
mg
2
m
Io
H
SU
PONDS
TANKS
I Mo
18
OTHER
<2$-
^77 ,
TOTAL
VILLAGES
WITHOUT A
VILLAGES
REQUIRING
SINGLE SAFE ADDrfloNAL
SOURCE
WATER SOURCE
183
A6
1
v*
M
)5
|ooo
■2
q 6o
23^
38
U3I
WATER SOURCES
x3l
it
853
38
DRINKING
STEP
|o
H__
2^5^
um
OTHER
UNSAFE
7M
13 S.MADHOPUR
IS
SOURCES
DURING 1991
2)
|2Z
a
6__
5i74 Mio
I3?8I 3U8
33
33 S'
—
hq
<21
13 3 3
LI
18
33
£l2r
6
ANNEXURE -10
CONVERSION pF UNSAFE
TARGET
s
AFFECTED
NO
DISTRICTS
FOR CONVERSION
DURING
S.W.
DRINKING WATER SOURCES DURING 1991
CONVERSION UPTO DECgi
1991-32
TOTAL
s.w.
| e> o
|oo
log.
IQ g
others
OTHERS
TOTAL
CONVERSION
S. W.
IN
PROGRESS
OTHERS
TOTAL
J
banswara
2
BARMER
2
BIKRNER
4
Bundi
S
8
a
8
5
CHITTQRGARH
JLL
26
G
210
2os
2^
2o$-
3
DUNGRRPUR
^1
2/o
3
6^8
7
31
707
__ 3
3
7B7
13
___ 3
13
3
|6S I
|6 S' I
23>
22>
2 jaisalmer
2 jalore.
9
JHALAWAR
6M8
io
JODHPUR
II
KOTA
__ 7
31
11
NAS'AUR
13
S.MADMqpur
14
TONK_______
__ l_
32
IS
UDAIPUR
IH9I
9
_J_
mi
2 5-6 7
total
®
3
ha A.
-ta
“e^
770 Ste^wdls f?>
<Lo^v«rsto->t/
VECTOR1.
»
NO.OF ,
AFFECTED
NO
DISTRICTS
WATER
SOURCES
NEVER
recorded
1
BANSWARA
2
BARMER___
_3
4-
BIKANER
.5
CHITTORGARH
BONDI________
6_ DUNGARPUR
7 JAISALMER
j-2
TIMES
U
'83
25
7
La
5
lb__
125b
'
"•'
..........
33
77
7
IM
OF
3-4
TIMES
5- 6
7-8
TIMES
TIMES
I 55
go
31
to
Lj7
Li
bo
5~
O
6"
5
137
JALORE
J MALAWAR ~
io
JODHPUR
II
KOTA_______
12
NASAUR__
13
S.MADHOPUR
14
TONK
IS
UDAIPUR
225o
|o3
Total
51 L>o
^7 3
38o
I___
37 <8
Q
So
3^
FOR
TOTAU
temephos
APPLICATION
AMOUNT OP temePHOS
IN LITRES
COMSUMCD BALANCE REQUIRED
DURING
AT THE
FOR
THE YEAR endop
1392
YEAR
2 88
31
2q2
|oo
4 00
I 57
lb
32
__ b
7O|
“I I
o
7
I
l|
7
8°
B3o
3
I
U7
3
2 5o
3
I 25 I
Lj
^1
15"
23
L5
9
9
b bb
30 I
II37
8
3148
117 8
iSoLj
Li 887
H- (/)
r -
H- O
r
MONITORED
I OD
I5
2b
I e>
IO
Io
L| o&
Ro
Ao o
15
7
8
9
"i
NO.OFVILLAGES
UNSAFE WATER SOURCES
treated WITH TEMEPHOS
NUMBER
UNSAFE
S.
'—........
'
ANNEXURE -11
CONTROL
co/
I
3
737
30
poo
_W1
"3 80
IO
|DO
I o
It q
3o o
38
|7 Q
-I
1^4
I 5~
5
Io
2o^4'3
^6-7
^00 o
37o
LBI8'3,
73A-7
5^o
ANNEXURE -12
STRAINERS DISTRIBU1ED DURING 1991
NUMBER COVERED FOR DISTRIBUHOH IN SWE
s.
districts
Nq
BAN SWARA
7
3
I
2
BARMER
3
BIKRNER
4
BUNDI
5
CHITTORGARH
6
dungarpur
5
7
JAISALMER
9
8 JALORE^
9 JMALAWAR
io JODHPUR.
3
I
KOTA________
12
NAGAUR
13
sTmadhopur
14
tonk
IS
"UDAIPUR
TOTAL
i
distributed
BALANCE
23
72^
72^
S-O
'"1/7
2 oS o
2Do.A <•’
i 70 o
170C
Hr L
ii 7
3oo§-
/6 79J-'
I E oo
Hr l
I3o
7
7'00
3n o°
lloo
jug
7 q 82
7 77^
/o 3<-’c’
I o Sco
7
3o
5
5
7
(2-
I 9(
.7^
STRAINERS
HOUSEHOLDS
villages
PHC-s
NO OF
(g) pluvious-
HnHttc-
5B
6 l(
Nru
s / g~
G 7oo
6 7oo
A7cc.
IG7co
I6 7oo
Hr
9QO92
EicdLaM nr - 11 11©
iqiz
>
ANNEXURE -13
QUANTITY OF HEALTH EDUCATION MATERIAL UTILISED DURING 1991
S
H.
EDUCATION
HEA LT H
AFFECTED
DISTRICTS
po^Yevs
Poaa^Aza
T\y'
Video
'i
2 3S“
J
2
BANSWARA
3S00
BARMER
■5~0Q
20 000
3
BIKANER
h Ob
4
BUNDI
5
CHITTORGARH
36o°
Too
qic
G
"7
DUNGARPUR
CT5 O
JAISALklER
1<5C
^00
8
JALORE
1500
9
J H ALAWAR
2 8^70
2o°
^1^3^
10
JODHPUR
^00
11
KOTA
12
NAGAUR
15
S-MADHOPUR
14-
TONK
is
UDAIPUR
total
Lf
MATERIAL
I Db O
2 1ST
g-co
Ao
4
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HEALTH EDUCATION
NO. OF
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ANNEXURE -16
W E-P
PLAN
OF
s
JAN
ACTION
FEB . MARCH
for
1992
April MAY
JUNE JULY
AUG.
SEPT.
OCT.
NOV.
DEC.
H
1
2 I ACTIVE GUINEAWORM CASE SEARCH OPERATION
disease surveillance
3_ MONTHLY OUINEAWORM
GUINEAWORM case management_________________
_£ ppnVISlON A MAINTENANCE OF WATER SUPPLY
5_
MONTHLY a|ctivi-$y thPogholt -THE YEAR - COM T INUOUS
ACTIVITY TH2OGHOIT THE
Co bJTl HUODS
ACT I
YEAR.
✓ ITYTV ROGH)UT *th!e YEAR]- -
IEMEPHOs'tREATMENT of UNSAFE water SOURCES
£
2 Guineaworm health education ____________
sjineaworm education day celebration
crash teaching programmefor
9
(a)
MlEDlCAL OFFICERS PHC’S
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PUb- OFFICERS________
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EDUCATOR. J-
Cd)
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RHED
CO PHC LEVEL PARA MEDICALS
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INTER - S ECTORAL COORDINATION MEETING.
COMTI «.\UOUS
ACTIVI T\ BUI
IbATtRSlPlED fcURAHG APR\L^ JUNE - -
ANNEXURE -17
YEARWISE
S.
GDINEAWORM
NO
OF
CASES
GUINEAWORM
Q9S-9
I99p
CASES
Deer*.
ENDEMIC
1987
1983
1989
1990
1991
N.
DISTRICTS
1984
1985
1386
I.
B4NSWARA
765
7 IO
752
697
178
139
38
89
39
2 BARMER
70 3
106
485
648
735
159
202
SI
36
3 bikoner
I 06
77
22
io
17
49
12
83
4
BUHDI
181
4-2
o
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O
2.
10
o
5
CHITTORGARH
570
251
7
93
31
6
Ar
O
joe
DUNGARPUR
2924
4149
3263
3163
723
582
439
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86
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42
8
3
26
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11
54
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4
4
9
JUALAWAR
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1297
1314
1142
546
1494
773
10 JODHPUR
670
529
2'5
230
20 6
175
279
II
KOTA
352
211
53
120
55
2
42
12
NAGAUR
205
107
228
226
401
13
5. MADHOPUR
479
147
57
48
10
23
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o
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4192
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